OrganizationActive
Kenosha Surgicenter LLC
NPI 1760101992 · Non-Pharmacy Dispensing Site · Kenosha, WI
Provider details
- NPI number
- 1760101992
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Kevin Hooker, Hr(262) 297-7246
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10105 74th St Ste 102
Kenosha, WI 53142-7530
Phone: (262) 297-7246
Fax: (888) 701-0578
Street-level locationGet directions
Mailing address
2500 W Layton Ave Ste 120
Milwaukee, WI 53221-5400
Registry dates
- Enumerated
- 2022-08-23
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.